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Independent Medical Review (IMR) Determinations, Trend
This data is from the California Department of Managed Health Care (DMHC). It contains all decisions from Independent Medical Reviews (IMR) administered by the DMHC since January 1, 2001. An IMR is an independent review of a denied, delayed, or modified health care service that the health plan has determined to be not medically necessary, experimental/investigational or non-emergent/urgent. If the IMR is decided in an enrollees favor, the health plan must authorize the service or treatment requested.
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연관 데이터
Independent Medical Review (IMR) Determinations, Trend
공공데이터포털
This data is from the California Department of Managed Health Care (DMHC). It contains all decisions from Independent Medical Reviews (IMR) administered by the DMHC since January 1, 2001. An IMR is an independent review of a denied, delayed, or modified health care service that the health plan has determined to be not medically necessary, experimental/investigational or non-emergent/urgent. If the IMR is decided in an enrollees favor, the health plan must authorize the service or treatment requested.
Independent Medical Review (IMR) Determinations, Trend
공공데이터포털
This data is from the California Department of Managed Health Care (DMHC). It contains all decisions from Independent Medical Reviews (IMR) administered by the DMHC since January 1, 2001. An IMR is an independent review of a denied, delayed, or modified health care service that the health plan has determined to be not medically necessary, experimental/investigational or non-emergent/urgent. If the IMR is decided in an enrollees favor, the health plan must authorize the service or treatment requested.
Rate Review Detail, Trend
공공데이터포털
This data is from the California Department of Managed Health Care (DMHC). It contains all information on health plan proposed premium rates filed with the DMHC since January 1, 2011. The DMHC is committed to providing the public with information in order to expand consumer understanding about premium rate increases. The DMHC does not have the authority to approve or deny rate increases; however, the DMHC's review of proposed premium rates improves accountability in health plan rate setting and often results in a reduction in the proposed rate.
Rate Review Detail, Trend
공공데이터포털
This data is from the California Department of Managed Health Care (DMHC). It contains all information on health plan proposed premium rates filed with the DMHC since January 1, 2011. The DMHC is committed to providing the public with information in order to expand consumer understanding about premium rate increases. The DMHC does not have the authority to approve or deny rate increases; however, the DMHC's review of proposed premium rates improves accountability in health plan rate setting and often results in a reduction in the proposed rate.
Rate Review Detail, Trend
공공데이터포털
This data is from the California Department of Managed Health Care (DMHC). It contains all information on health plan proposed premium rates filed with the DMHC since January 1, 2011. The DMHC is committed to providing the public with information in order to expand consumer understanding about premium rate increases. The DMHC does not have the authority to approve or deny rate increases; however, the DMHC's review of proposed premium rates improves accountability in health plan rate setting and often results in a reduction in the proposed rate.
Independent dispute resolution summary data
공공데이터포털
The Texas Department of Insurance administers Independent Dispute Resolution (IDR), a mediation and arbitration process for certain health care billing disputes between out-of-network providers and health plans. Mediation is used for billing disputes between out-of-network facilities and health plans. Arbitration is used for billing disputes between out-of-network health care providers (not facilities) and health plans. Medical services or supplies received on or after January 1, 2020 may be eligible for IDR. To learn more, go to the TDI webpage, Mediation and arbitration of medical bills.
Quarterly Provider Complaints
공공데이터포털
This data is from the California Department of Managed Health Care (DMHC). It contains all Provider complaints received by the DMHC since January 1, 2019.
Quarterly Provider Complaints
공공데이터포털
This data is from the California Department of Managed Health Care (DMHC). It contains all Provider complaints received by the DMHC since January 1, 2019.
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